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Q Care Assist, a Nottingham domiciliary care agency, was rated Requires Improvement overall at its first inspection in February–March 2023, with Safe and Well-Led both requiring improvement due to a missed safeguarding referral, inconsistent medicines management, incomplete recruitment records, and late statutory notifications. Effective, Caring and Responsive were all rated Good, reflecting strong person-centred care, skilled and consistent staff, and effective partnership working.